Individual
SAM CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-7999
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 265-7999
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME114267
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006710100
—
FL
Enumeration date
06/09/2009
Last updated
01/03/2013
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